The British government is considering plans to sell health data to private firms without patient consent, weeks after a public outcry over privacy forced it to scrap a similar scheme.

Buried in new guidelines on how to handle patient data, and barely mentioned by the Department of Health, is a recommendation that all patient data be collected from U.K. family doctors and stored centrally.

It also says that “in due course, the opt-out should not apply” — meaning that patients would no longer be given the choice to prevent their information being stored and sold.